scholarly journals Long-term Patency of Arteriovenous Fistulas as a Vascular Access in Paediatric Age Group Patients with End-stage Renal Disease-Egyptian experience

2021 ◽  
Vol 14 (1) ◽  
pp. 32-44
Author(s):  
Hassan Lotfy ◽  
Wael Shaalan ◽  
Aly Elemam ◽  
Akram Ibrahim ◽  
Ahmed Naga
2021 ◽  
pp. 112972982110077
Author(s):  
John J Manov ◽  
Prasoon P Mohan ◽  
Roberto Vazquez-Padron

The number of people worldwide living with end-stage renal disease is increasing. Arteriovenous fistulas are the preferred method of vascular access in patients who will require hemodialysis. As the number of patients with arteriovenous fistulas grows, the role of physicians who intervene who maintain and salvage these fistulas will grow in importance. This review aims to familiarize practitioners with the rationale for arteriovenous fistula creation, the detection of fistula dysfunction, and the state of the art on fistula maintenance and preservation. Current controversies are briefly reviewed.


2019 ◽  
Vol 10 (4) ◽  
pp. 3669-3673
Author(s):  
Samer Makki Mohamed Al-Hakkak ◽  
Firas Shaker Mahmoud Al-Faham ◽  
Alaa Abood Al-Wadees ◽  
Mehmet Besir Akpinar

The end-stage renal disease still holds significant health problems, getting, good, long term functioning vascular access for hemodialysis is our utmost value. Autogenous techniques are generally used for access. There are many surgical methods for getting autogenous access in hemodialysis patients. We aimed to assess the outcomes of the “oval-shaped anastomosis” technique used during the creation of arteriovenous fistulas in patients with advanced renal impairments. We randomly selected and retrospectively examined 52 patients on whom the “oval-shaped anastomosis” technique had been performed. Forty-nine (94%) patency rate in the 52 randomly selected patients on whom we used this mechanism in the first 6 months follow up. The patency and good functioning fistula created for hemodialysis is our priority in advance renal impairment. This technique has been particularly useful in stiff arteriosclerotic arteries, and it provides a more comfortable and clear anastomosis.


1992 ◽  
Vol 3 (1) ◽  
pp. 1-11
Author(s):  
P Y Fan ◽  
S J Schwab

Modern hemodialysis requires repeated reliable access to blood vessels capable of providing rapid extracorporeal blood flow. This necessity for reliable access to the circulation is the Achilles' heel of modern hemodialysis. Native and synthetic arteriovenous fistulas remain the preferred method of maintaining long-term hemodialysis access. Vascular access dysfunctions (thrombosis and infection) are the most common complications encountered in the care of end-stage renal disease patients. This article focuses on the mechanisms by which permanent vascular access for hemodialysis is obtained and deals with the common complications that result. This review will evaluate these common complications and outline new methods for improving vascular access patency. New concepts focusing on the prospective detection and correction of venous stenoses as well as on the prevention of other factors that predispose to access failure are explored.


2018 ◽  
Vol 2 (2) ◽  
pp. 105-112
Author(s):  
Lutfi Zylbeari ◽  
Zamira Bexheti ◽  
Gazmend Zylbeari ◽  
Ferizate Haxhirexha ◽  
Kastriot Haxhirexha

Renal Failure ◽  
1995 ◽  
Vol 17 (5) ◽  
pp. 589-593 ◽  
Author(s):  
Susan Crowley ◽  
Richard Morrissey ◽  
Eugene Silverman ◽  
William Yudt ◽  
Przemyslaw Hirszel

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Muhammad Nadeem ◽  
Mansoor Abbas Qaisar ◽  
Ali Hassan Al Hakami ◽  
Fateh Sher Chattah ◽  
Muhammad Muzammil ◽  
...  

Background: The mean arterial pressure serves as an expression of blood pressure in patients on chronic hemodialysis. Serum calcium phosphorus product is considered as a risk factor of vascular calcification that is associated with hypertension in the patients of end stage renal disease. The literature regarding this relationship is inconsistent therefore this study is designed to determine the correlation between calcium phosphorus product and mean arterial pressure among hemodialysis patients with end stage renal disease. Methods: A total of 110 patients of end stage renal disease on hemodialysis for at least one year, 20 to 60 years of age were included. Patients with primary or tertiary hyperparathyroidism, peripheral vascular disease, malignancy, hypertension secondary to any cause other than kidney disease were excluded. Mean arterial pressure was calculated according to the standard protocol in lying position. Blood samples for estimation of serum calcium and phosphorous were taken and was sent immediately to the laboratory for serum analysis. Results: Mean age was 44.17 ± 10.94 years. Mean calcium phosphorous product was 46.71 ± 7.36 mg/dl and mean arterial pressure was 103.61 ± 12.77 mmHg. The values of Pearson correlation co-efficient (r) were 0.863 for age group 20 to 40 years and 0.589 for age group 41 to 60 years. This strong positive correlation means that high calcium phosphorous product goes with high mean arterial pressure (and vice versa) for both the age groups. Conclusion: A strong positive relationship exists between the mean arterial pressure and calcium phosphorous product and is independent of patients’ age.


Nefrología ◽  
2015 ◽  
Vol 35 (3) ◽  
pp. 234-245 ◽  
Author(s):  
Mohamad Alkhouli ◽  
Paul Sandhu ◽  
Khlaed Boobes ◽  
Kamel Hatahet ◽  
Farhan Raza ◽  
...  

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